Dong Jing-Cheng, Wu Jin-Feng, Zhang Hong-Ying, Gong Wei-Yi, Liu Bao-Jun, Xu Hai-lin
Department of Integrated Traditional Chinese and Western Medicine, Huashan Hospital of Fudan University, Shanghai 200040, China.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 May;33(5):695-700.
Treating different diseases by the same method is one of the most important characteristics in Chinese medicine, and as the main principle of treatment it has been widely applied in Chinese clinics. Its clinical effect is clear. The integration of 'differentiation of diseases' and 'differentiation of syndrome' should be the prerequisite and basis of 'treating different diseases by the same method'. Only if different diseases have the same syndrome, the same treatment can be used on them. Replenishing qi and strengthening Shen is a widely used method that carries out 'treating different diseases by the same method'. It is indicated that the method of 'replenishing qi and strengthening Shen' has preferable effects on many diseases. Part of its mechanism is associated with the improvement of function of neuro-endocrine-immune network, and therefore, it has the clinical effect of 'adjustment of the whole and improvement of the part' on partial disorders. Asthma, chronic obstructive pulmonary disease (COPD), uterine bleeding in puberty, anovulatory infertility, Kidney syndrome and aging, although they are attributed to different diseases and states, only if they have the syndrome of Shen deficiency, the principle of 'treating different diseases by the same method' and the method of 'replenishing qi 'and strengthening Shen' can be used effectively.
异病同治是中医的重要特点之一,作为主要治疗原则已在中国临床广泛应用。其临床疗效确切。“辨病”与“辨证”相结合应是“异病同治”的前提和基础。只有不同疾病具有相同证候时,才可采用相同的治疗方法。益气固神是广泛应用的一种“异病同治”方法。研究表明,“益气固神”法对多种疾病有较好疗效。其部分机制与改善神经-内分泌-免疫网络功能有关,因而对局部病变具有“整体调节、局部改善”的临床效果。哮喘、慢性阻塞性肺疾病(COPD)、青春期子宫出血、无排卵性不孕症、肾病综合征及衰老等,虽分属于不同疾病和状态,但只要有神虚证候,均可有效运用“异病同治”原则及“益气固神”法。